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Dental implant or bridge?

User Level:
Patient
Posted by: Teeth31  (8 years ago)
Hi,

I have a baby canine tooth, which never fell out, and now it became wiggly. The dentist said the baby tooth would have to be removed and I will have to get braces to pull my other teeth together. I do not want to get braces, they are expensive and I’ve heard they are uncomfortable to wear.

My other options are implant and bridge. As for the implant, the size would be much smaller than a normal canine tooth and it is expensive. As for the bridge, I was told it is cheaper compared to the implant, but I would need to cover up two perfectly healthy teeth that would anchor the bridge. Which is the best way to go? Please help me to decide. Thanks.
User Level:
Dentist
If it were my mouth I would not cut two perfectly good teeth for a bridge. An implant is a great way to go. I would personally do ortho to open the right size of space and get an implant that fits right..... choices.
Posted 8 years ago
User Level:
Student
Posted by: ghnane  (8 years ago)
Hello. Yes, braces may be costly depending on the duration of the treatment and discomfort is caused from pressure applied to shift your teeth. SInce a baby canine is much smaller in size than permanent canines your implant would be smaller. I assume you are young and having an implant would suit you better since it is more long term.

Although a 3 unit bridge is less costly but you have to compromise two adjacent teeth for the bridge and maintain good oral hygiene and floss using a floss threader. An implant is a long term investment that will eventually pay off. I hope this helps.
User Level:
Student
Posted by: mdhola  (8 years ago)
If you are just talking about choice between implant and bridge, most of dentists will recommend implant for its better survival and success rate. However, this decision is not that easy.

As you pointed out one reason, "a required space". If you think about tooth in three dimensions, it needs enough space in all three axis. In simple terms enough width, length and depth. so, you basically need enough bone in all three dimension which can be determined by special radiograph know as cone-beam CT. Usually depth is not common issue in canine reason. If you have less amount of bone than what we need, then they might think about placing bone graft.

Second thing they might think about is esthetics. Especially when patient showing lot of gum tissue when they smile, it is hard choice between implants, bridge, or removable partial denture. if you are lacking enough gum tissue around implant site, then your dentist might recommend to have gum graft.

Furthermore, implant usually needs two surgery and you need to wait for crown on it until bone around implant get nice healing.

I would advise you to talk to your orthodontist and also get the expert opinion from prosthodontist if necessary for your treatment options.
User Level:
Dentist
Hi,

I have a baby canine tooth, which never fell out, and now it became wiggly. The dentist said the baby tooth would have to be removed and I will have to get braces to pull my other teeth together. I do not want to get braces, they are expensive and I’ve heard they are uncomfortable to wear.

My other options are implant and bridge. As for the implant, the size would be much smaller than a normal canine tooth and it is expensive. As for the bridge, I was told it is cheaper compared to the implant, but I would need to cover up two perfectly healthy teeth that would anchor the bridge. Which is the best way to go? Please help me to decide. Thanks.


I WOULD NEVER, EVER CUT DOWN TO VIRGIN TEETH TO DO A BRIDGE. BRIDGES HAVE A MUCH HIGHER FAILURE RATE THAN IMPLANTS.

KIM HENRY, D.M.D.
Posted 8 years ago
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